Dare I hope.....

I am almost afraid to post this for fear of jinxing myself, but after many twists and turns on this road with this insurance, I am FINALLY getting my 2nd appeal sent in.  After the 1st appeal was denied, we had a heck of a time getting anywhere with my company's insurance broker.  By law they have to help me, but... well, it's a long story.  Anyway, about 2 months ago we all had a pow-wow via teleconference, and it was decided that we needed to "refile" a 2nd appeal to BCBS.  So this time I decided to get out the big guns because they are now telling me I must have a BMI > 50 for 4 of the last 5 years - which is a load of BS because it is not listed anywhere in the policy.  I contacted 2 out of my 3 doctors and had them write letters of support for me defending my choice of DS and why.  After much begging and pleading, I got my hands on the last of the 2 letters just yesterday.  Now my appeals advocate has it and is finalizing the package - she PROMISED me it would go out this week.  So now, I sit and wait for the acknowledgement card from BCBS so that the 30-day timer starts. 

I know a lot of folks have it far worse than I do, what with the economy the way it is, but I'd really appreciate any prayers/good vibes/ swinging chickens.  Every time in the last 2 months that I've made even a little bit of progress, I have been reluctant to share it for fear of the progress disappearing.  But I think this is a pretty good milestone.  Thank you to all those who keep me going from month to month and remind me to never give up (you know who you are ).

Happiest of Holidays to all.

Good luck.  I'll keep my fingers crossed for you.

About damned time.

Since patience and persistence make you powerful, you must Wonder Woman!

Wishing you all the best as your appeal is reviewed.

Thanks again for dinner the other night. It was a welcome and needed break. Ben's doing so much better and is down 18 lbs since surgery! GUYS!! ;-)

I'm sure that your turn is coming soon.

All the best my friend,

Thank you, Sweetie.  Your continued support (as well as others) have been what has kept me going during all this.  I do hope that time will come soon for me.

Dinner was our pleasure.  We look forward to the time when you and Ben can join us for dinner!  Tell him we're so happy to hear of his improvement and weight loss.  Wow - 18 pounds!  If only we could lose like men!

LOL about being Wonder Woman.  I have that line in my signature because my appeals specialist has me to say it as a mantra, especially when I get all worked up over BCBS's antics.

Warmest regards to you both,

Now, Ang, it's just superstition to imagine telling us what is going on could "jinx" your appeal--

My paperwork is in but today I had the call from ins. that they want documents from my PCP for my weights back to 2004.... well... we both know what they're looking for.  I'm trying not to lose hope, but... I am kind of down today.

How can we cheer ourselves up?

Ms. PP Pance

Hi Dear!  So sorry you're down.  Yes, I hate to say it, but we do know what they're looking for.  I will keep you in my prayers for a good turn out for you.  And I pray for myself, too!

As for cheering us up, I don't know.  I do know that I am up now regardless of what BCBS says because as of yesterday at noon, I am off wor****il Jan. 5th.  We all went out yesterday for a fine lunch at a wonderful Italian restaurant in Chapel Hill, and we girls had such a good time (my co-workers and boss) that I didn't get home until after 10 last night.  Well, we'd been partying since 1:00 p.m., so it was a long day but a really good time.  So today I'm listening to Christmas music and wrapping gifts, and it would take a lot to spoil my good mood.  I think I've just decided that I'm going to enjoy my holidays no matter what they say - I'll deal with them in January. 

Perhaps that will work for you, too.  Do what you have to with the PCP but otherwise don't let them get you down.  Enjoy the Holidays and make them as merry as you can and know that in the next year, one way or another, we WILL have our DSes and we will be on our way to a healthier life!!

Good luck to you my dear.  I'll call you soon so we can chat - maybe my crazy happy holiday mood will cheer you up!

Big Hugs!

Best of Luck to you. I just sent in my 2nd appeal to BCBS myself. They are reviewing my case on dec 30 and was invited to come. Figured it couldn't hurt to go..maybe seeing a face behind the paperwork might help.

Oh, thank you, Teresa!  I'll keep my fingers crossed for you, too.  I hope it works out for you favorably, and that you can sway them in your favor.  Please let us know what happens!